为什么诊断儿童和青少年的双相情感障碍如此重要?

M. Bourin
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引用次数: 0

摘要

尽管数据越来越可靠,但儿童精神科医生对儿童和青少年双相情感障碍的诊断仍没有进展。最重要的是单极性抑郁症、包括恐慌症在内的焦虑症,当然还有运动过度伴注意力缺陷症。这就是成年精神病学家继承双相情感障碍患者的方式,这些患者的诊断在儿童或青少年时期被忽视,通常会沉寂多年。诊断指南虽然不完美,但很快就会被诊断为双相情感障碍,尤其是当父母受到质疑时,会有争论导致家庭疾病。如果情绪稳定剂在12岁前几乎无效,那么在12岁后可以成功使用。在明显的学校问题的情况下,行为疗法可以取代或哌甲酯。
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Why it is so Important to Diagnose Bipolar Disorder in Children and Adolescents?
The diagnosis of bipolar disorder in children and adolescents has not progressed among child psychiatrists despite increasingly solid data. It is unipolar depression, anxiety disorders including panic attacks and of course hyperkinesia with attention deficit disorder that are at the top of the bill. This is how adult psychiatrists inherit bipolar patients whose diagnosis was ignored in childhood or adolescence, often dormant for years. The diagnostic guidelines, although not perfect, quickly lead to the diagnosis of bipolar disorder, especially as when parents are questioned, there are arguments leading to family disease. If mood stabilizers are little or no effective before the age of 12, they can be used successfully after that age. Behavioral therapies can take over or methylphenidate in the case of obvious school problems.
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